Organization · Type 2 NPI

Georgia Department of Human Resources

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hephzibah, GA

NPI number 1316015308 Active

Practice location

2577 Lincolnton Pkwy
Hephzibah, GA 30815-5932

Call (706) 790-2034 Map

Mailing address

100 Myrtle Blvd
Gracewood, GA 30812-1500

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1316015308

Georgia Department of Human Resources's National Provider Identifier is 1316015308, issued on Nov 30, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Hephzibah, GA. The record was last updated on Aug 22, 2020.